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Are Persistent Stomach Discomfort And Sweating Suggestive Of IBS?

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Posted on Mon, 27 Jun 2016
Question: Hello,
My primary doctor thinks I have IBS. I have stomach discomfort daily but not all the time. When I do have this discomfort I get extreme sweating on my buttocks to the point I have to change my underwear at times. This is the most uncomfortable place to be in as a professional as you can imagine. Have to wear black pants all the time so the sweating doesn't show through. Please help with any answers to what this could be cause by. Im 34 years old and this started about 8 months ago and has not gone away.

Thanks
doctor
Answered by Dr. Mukund Savaskar (38 hours later)
Brief Answer:
Buttock Hyperhidrosis with IBS/ Under Evaluation

Detailed Answer:
Brief Ans-Buttock Hyperhidrosis with IBS/ Under Evaluation

Hi,Dear !! Thanks for your query to HCM.
Read and reviewed-your query facts,which are intriguing and challenging for any one treating your IBS.
Still In the given scenario,I would use my expertise and experience in resolving your intriguing health issues.

More Information please !!
But before I could give you the solution for this intriguing and unusual problem, I would need more details from You on the following lead data-
Update on details How this buttock sweating started 8 mths back?
Give detailed information-how it started first and went on increasing.
Do you take More beverages/Coffee/Tea or ? -any stimulant drugs?
With which food your stomach starts paining?is it wheat intolerance or bakery products or dairy products?
Are you vegan or non-veg mostly?
Does it start with spicy,fried party hotel food / or street fast food?
Give list of drugs used currently? With which drug/medicine for IBS/or any other illness -started 8 mths back for IBS?
How frequently you have cold and headache attacks and take cold controlling medicines?

Dear,I Would await till I get above lead information.It may take few sessions more,to study and find out cause-of buttock sweating -8 mths back.

Welcome with any further query in this regard.

Good Day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Mukund Savaskar (19 hours later)
It just started out of nowhere back in September. Felt discomfort in my stomach and it hasn't gone away. Makes me feel bloated a lot of the time. If I do drink an energy drink it does become worse immediately. So obviously stimulants aren't helping. I don't take any medications except multivitamins and atorvastatin for cholesterol. I did do colon cleanses starting approximately five years ago and whenever I had the urge to deca ate the same result would happen as it does now. Extreme sweating in the buttocks area. So now every time I have to go number two I get the sweating. Any advice on what to do is much appreciated.
doctor
Answered by Dr. Mukund Savaskar (16 hours later)
Brief Answer:
Buttock Hyperhidrosis with IBS/ Under Evaluation

Detailed Answer:
Brief Ans-Treating options for Buttock Hyperhidrosis with IBS/ Under Evaluation

Hi,Dear!! Thanks for the updates.
Read and reviewed your updates in context to the causes of bum sweating while defecation.

My Impression-

From the facts submitted, you seem to suffer from chronic-IBS with stomach discomfort, but you have not given much information about the stomach discomfort / mucus / blood discharge, acid reflux with it/ or any information on lead questions asked.

Seems you are more worried for the hyperhidrosis in your low back and buttocks or bums.Also you have not given any information on the medicines and treatment your are on for last 8 months.

Do submit this information soon to give specific reply to your query.

Plan suggested for your health issues-

Reply to your query-

Q-Please help with any answers to what this could be cause by.
Ans-Reply for the cause and treatment suggested is as follows-
You need to Consult with Surgeon and GI Physician and endoscopist and get it assessed for the cause of IBS-which could be -Proctitis/ Spastic Sigmoid Colon/ Ulcerative Colitis / TB Entro-Colitis / Diverticulosis / Polyposis Coli/ Crohn's.

Get treated with anti-spasmodics-like Bentyl along with Panto-D-/ Vit B12 / Tab Folic acid/Probiotic-Cap-Sporolac-1-x 2 per day x 6 weeks./ High fiber diet / Bland rice diet/Avoid Wheat and bakery and dairy product/ rule out Cl.difficile infection causing diarrhea and accompanied sweating -

Most Important- you should Avoid -Cold BEVERAGES(Caffein loading causing buttock sweating with defecations mostly)- for any reasons /AVoid fast food strictly for 6 weeks/ Youghurt helpings daily 2 times /
Reduce obesity if any / add exercises regularly/ avoid smoking-alcohol, tobacco etc.

Cause of Excessive Sweating while defecation-

As the sweating occurs ONLY when the stomach problem with defecation starts,you need to treat the IBS and IBD causes and treat it,to resolve the hyperhidrosis in buttocks.

-Reasoning -
this sweating seems to be due to hyper sensitive presacral sympathetic plexuses from acute / chronic inflammation sensitizing colonic and sympathetic neural pathways,causing extreme sweating in buttocks skin dermatomes (S1 to S-5) and needs to be treated accordingly.Excess cold beverages as you take, is adding more to excessive sweating from Caffein intake with beverages.

2-If no relief with this -Consult with a team of specialist Surgoen/ GI endosopist and rule out other causes and treat them

3-IF still no relief of buttock hyperhidrosis-following options Could be tried-

a-Special Medicines-
Clonidine or Oxybutynoin-to control the hyperhidrosis by special-Medicines

b-Special-Botox Treatment- in -
Buttock sweating spots-is the best accepted and established (FDA)approved treatment.Dermatologist expert in botox injection treatment would resolve this issue.

c-Laser treatment- by Cellulaze lazer-( but is costly and could be tried if you can affortd)with dermatologist

d-ELS-Endoscopic Lumbar Sympathectomy -/ or presacral sympathetic plexus sympathectomy would resolve buttock hyperhidrosis in some case.

Hope this comprehensive and extensively detailed reply would help you to resolve your health issues with help of your doctors there.

Welcome for any further query in this regard.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Dear, if satisfied, Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS



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Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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Are Persistent Stomach Discomfort And Sweating Suggestive Of IBS?

Brief Answer: Buttock Hyperhidrosis with IBS/ Under Evaluation Detailed Answer: Brief Ans-Buttock Hyperhidrosis with IBS/ Under Evaluation Hi,Dear !! Thanks for your query to HCM. Read and reviewed-your query facts,which are intriguing and challenging for any one treating your IBS. Still In the given scenario,I would use my expertise and experience in resolving your intriguing health issues. More Information please !! But before I could give you the solution for this intriguing and unusual problem, I would need more details from You on the following lead data- Update on details How this buttock sweating started 8 mths back? Give detailed information-how it started first and went on increasing. Do you take More beverages/Coffee/Tea or ? -any stimulant drugs? With which food your stomach starts paining?is it wheat intolerance or bakery products or dairy products? Are you vegan or non-veg mostly? Does it start with spicy,fried party hotel food / or street fast food? Give list of drugs used currently? With which drug/medicine for IBS/or any other illness -started 8 mths back for IBS? How frequently you have cold and headache attacks and take cold controlling medicines? Dear,I Would await till I get above lead information.It may take few sessions more,to study and find out cause-of buttock sweating -8 mths back. Welcome with any further query in this regard. Good Day!! Dr.Savaskar M.N. XXXXXXX Surgical Specialist M.S.Genl-CVTS